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  1. FHIR Specification Feedback
  2. FHIR-27580

Need to add payer into the workflow

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive with Modification
    • Icon: Highest Highest
    • US Post Acute Orders (FHIR)
    • 0.1.1
    • Orders & Observations
    • (NA)
    • 2.2
    • Hide

      This guide is focused on the exchange of post acute orders (and supporting documentation or authorizations) between the ordering provider and the performing provider.

      We will include a larger flow context that includes the payer and PA where either or both are involved.

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      This guide is focused on the exchange of post acute orders (and supporting documentation or authorizations) between the ordering provider and the performing provider. We will include a larger flow context that includes the payer and PA where either or both are involved.
    • Bob Dieterle / Marti Velezis : 7-0-8
    • Clarification
    • Non-substantive

    Description

      We strongly recommend that the payer be included as an actor in these diagrams. The documentation is being passed from the supplier to the payer, and that order won’t be fulfilled until the PA is approved. While we understand this may get complicated since some of the documentation review may be done retrospectively, the documentation is always going to the payer, so that is part of the process.

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            celine_lefebvre Celine Lefebvre
            Celine Lefebvre
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